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1. 发明授权

US5944737A Ultrasonic clamp coagulator apparatus having improved waveguide support member 失效
标题翻译：具有改进的波导支撑构件的超声波夹具凝结器装置
公开(公告)号：US5944737A
公开(公告)日：1999-08-31
申请号：US949161
申请日：1997-10-10
申请人： Mark Tsonton , Stephen DiMatteo
发明人： Mark Tsonton , Stephen DiMatteo
IPC分类号： A61B17/28 , A61B17/32 , A61B18/00 , A61B19/00
CPC分类号： A61B17/320092 , A61B17/29 , A61B2017/2929 , A61B2017/320088 , A61B2090/031 , A61B90/03
摘要： An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. The ultrasonic waveguide of the apparatus is preferably provided with an improved support member at the distal-most node thereof, which support member desirably functions to resist bending moments created in the waveguide, attendant to operation of the clamping mechanism, while sealing the region adjacent to the waveguide.
摘要翻译：超声外科夹具凝固器装置被配置为通过所述装置的夹持机构与相关联的超声末端执行器协作来实现组织的切割，凝结和夹紧。该装置的超声波导优选地在其最远侧节点处设置有改进的支撑构件，该支撑构件希望起到抵抗在波导中产生的弯曲力矩的作用，伴随着夹紧机构的操作，同时密封邻近波导。

2. 发明授权

US5322055A Clamp coagulator/cutting system for ultrasonic surgical instruments 失效
标题翻译：超声波手术器械夹钳/切割系统
公开(公告)号：US5322055A
公开(公告)日：1994-06-21
申请号：US8809
申请日：1993-01-27
申请人： Thomas W. Davison , Stephen DiMatteo , Paul Smith , Gary Whipple
发明人： Thomas W. Davison , Stephen DiMatteo , Paul Smith , Gary Whipple
IPC分类号： A61B17/12 , A61B17/00 , A61B17/28 , A61B17/32 , A61B18/00 , A61B18/14
CPC分类号： A61B17/320068 , A61B17/320016 , A61B17/320092 , A61B18/1442 , A61B2017/00353 , A61B2017/2825 , A61B2017/2926 , A61B2017/2929 , A61B2017/2945 , A61B2017/320084 , A61B2018/1432
摘要： An ultrasonic surgical apparatus includes a surgical instrument having a handpiece with a transducer for converting an electrical signal into longitudinal vibratory motion of a blade connected to the handpiece and an accessory releasably connected to the handpiece to enable clamping of tissue against the vibrating blade to afford improved coagulating and cutting of tissue. Scissors-like grips actuate a pivoted clamp jaw along one side of the ultrasonically vibrating blade to compress and bias tissue against the blade in a direction normal to the direction of longitudinal vibratory movement. The clamp jaw and blade are rotatable relative to one another to align a selected blade edge of a multi-edged blade with the clamp jaw for cutting and coagulating while clamping or circumferentially spacing a selected blade edge from the clamp jaw for cutting and coagulating without clamping.
摘要翻译：超声手术装置包括具有手柄的外科器械，该手持件具有用于将电信号转换成连接到手持件上的刀片的纵向振动运动的换能器和可拆卸地连接到手持件的附件，以使组织能够相对于振动刀片夹紧以提供改进的凝固和切割组织。剪刀式把手沿着超声波振动叶片的一侧致动枢轴夹钳，以在垂直于纵向振动运动方向的方向上压缩和偏压组织。钳夹和刀片可相对于彼此旋转，以将多刃刀片的选定刀片边缘与钳夹对齐，用于切割和凝固，同时夹紧或周向间隔选择的刀片边缘与钳夹，用于切割和凝固而不夹紧。

3. 发明授权

US6063098A Articulable ultrasonic surgical apparatus 失效
标题翻译：可伸缩超声手术器械
公开(公告)号：US6063098A
公开(公告)日：2000-05-16
申请号：US59472
申请日：1998-04-13
申请人： Kevin Houser , Stephen DiMatteo
发明人： Kevin Houser , Stephen DiMatteo
IPC分类号： A61B17/00 , A61B17/22 , A61B17/28 , A61B17/32 , A61B18/00 , B06B3/00 , B60B3/00 , G10K11/24
CPC分类号： A61B17/22012 , A61B17/320092 , B06B3/00 , G10K11/24 , A61B2017/003 , A61B2017/00314 , A61B2017/00327 , A61B2017/00477 , A61B2017/2905 , A61B2017/2908 , A61B2017/2927 , A61B2017/320088
摘要： An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. Selective articulational positioning of the end-effector is achieved by the provision of an articulating mechanism incorporated into the clamp coagulator apparatus. The arrangement permits an elongated portion of the apparatus to be selectively articulatably positioned with respect to an apparatus housing.
摘要翻译：超声外科夹具凝固器装置被配置为通过所述装置的夹持机构与相关联的超声末端执行器协作来实现组织的切割，凝结和夹紧。末端执行器的选择性关节定位是通过提供结合到夹具凝结器装置中的关节运动机构实现的。该装置允许装置的细长部分相对于装置壳体选择性地铰接地定位。

4. 发明授权

US5346502A Laparoscopic ultrasonic surgical instrument and methods for manufacturing the instruments 失效
标题翻译：腹腔镜超声手术仪器及仪器制造方法
公开(公告)号：US5346502A
公开(公告)日：1994-09-13
申请号：US46852
申请日：1993-04-15
申请人： Brian K. Estabrook , Stephen DiMatteo , Lionel J. Motta , John C. Wright
发明人： Brian K. Estabrook , Stephen DiMatteo , Lionel J. Motta , John C. Wright
IPC分类号： A61B17/00 , A61B17/32 , A61B18/00
CPC分类号： A61B17/320068 , A61B2017/0084 , A61B2017/00853 , A61B2017/320084 , A61B2017/320088
摘要： The ultrasonic instrument includes a shaft having an integral sheath of PTFE encompassing the shaft and attached solely to the shaft. At the proximal end of the shaft, wrench flats are exposed through openings in the sheath and grooves cooperate with complementary ribs on the sheath, to prevent relative longitudinal and rotational displacement of the sheath and shaft. The sheath is in contact with the shaft at the nodes along the shaft. The diameter of the sheath is about 5 mm whereby the instrument may be used with a 5 mm trocar port. To manufacture the instrument, the sheath is initially formed to a diameter equal to or less than the diameter of the shaft and then mechanically expanded. Subsequently, the sheath is heat-shrunk about the shaft and rolled continuously along the shaft, except at regions corresponding to the nodes along the shaft, to expand the sheath to a larger diameter to space the sheath from the shaft except at the nodes of the shaft.
摘要翻译：超声波仪器包括具有包围轴的聚四氟乙烯护套的轴，并且仅仅连接到轴上。在轴的近端，扳手平面通过护套中的开口暴露，并且凹槽与护套上的互补肋配合，以防止护套和轴的相对纵向和旋转位移。护套与沿着轴的节点处的轴接触。护套的直径约为5毫米，由此仪器可与5毫米套管针口一起使用。为了制造仪器，护套最初形成为等于或小于轴直径的直径，然后机械地膨胀。随后，护套围绕轴热收缩并沿着轴连续地滚动，除了对应于沿着轴的节点的区域，以将护套扩展到更大的直径以将护套与轴隔开，除了在轴。

5. 发明授权

US6051010A Methods and devices for joining transmission components 失效
标题翻译：用于连接传动部件的方法和装置
公开(公告)号：US6051010A
公开(公告)日：2000-04-18
申请号：US770550
申请日：1996-12-23
申请人： Stephen DiMatteo , Brian Estabrook
发明人： Stephen DiMatteo , Brian Estabrook
IPC分类号： A61B17/00 , A61B17/22 , A61B17/28 , A61B17/32 , A61B18/00 , B06B3/00 , B60B3/00 , G10K11/24
CPC分类号： A61B17/22012 , A61B17/320092 , B06B3/00 , G10K11/24 , A61B2017/00314 , A61B2017/00327 , A61B2017/00477 , A61B2017/2908 , A61B2017/2927 , A61B2017/320088
摘要： A coupling structure releasably attaches a plurality of transmission members to each other. Non-vibratory structures hold a second end of the first transmission member in contact with a first end of the second member. A method including the steps of providing a first non-vibratory structure carrying the first transmission member, and providing a second non-vibratory structure carrying the second transmission member. The method also includes the steps of attaching the first non-vibratory structure to the second non-vibratory structure to hold a coupling end of the first transmission rod in contact with a coupling end of the second transmission rod without the use of a threaded connection between the first and second components.
摘要翻译：耦合结构将多个传输构件彼此可释放地附接。非振动结构保持与第二构件的第一端接触的第一传动构件的第二端。一种方法，包括以下步骤：提供承载第一传动构件的第一非振动结构，以及提供承载第二传动构件的第二非振动结构。该方法还包括以下步骤：将第一非振动结构附接到第二非振动结构以保持第一传动杆的联接端与第二传动杆的联接端接触，而不使用第二传动杆的连接端第一和第二组件。

6. 发明授权

US5989274A Methods and devices for improving blood flow to a heart of a patient 失效
标题翻译：用于改善患者心脏的血流的方法和装置
公开(公告)号：US5989274A
公开(公告)日：1999-11-23
申请号：US770319
申请日：1996-12-20
申请人： Thomas W. Davison , Stephen DiMatteo
发明人： Thomas W. Davison , Stephen DiMatteo
IPC分类号： A61B18/00 , A61B17/00 , A61B17/32
CPC分类号： A61B17/320068 , A61B2017/00247 , A61B2017/320072 , A61B2018/00392
摘要： One device in accordance with the present invention includes a surgical device for creating channels in tissue of a patient. The device includes a catheter defining a lumen and a transducer assembly carried by the catheter along a lengthwise dimension of the catheter. An end effector is operatively coupled to the transducer assembly and extends distally relative to the transducer assembly. The end effector has a vibrating channel-forming tip wherein the channel-forming tip is adapted to create channels in the heart of a patient. A method in accordance with the present invention includes the steps of inserting an end effector having a tip into a patient, placing the tip of the end effector in direct contact with a surface of the heart, energizing the end effector to cause the tip to vibrate, piercing through the surface of the heart with the tip to create a channel, and removing the end effector.
摘要翻译：根据本发明的一个装置包括用于在患者的组织中产生通道的外科装置。该装置包括限定内腔的导管和由导管沿导管的纵向尺寸承载的换能器组件。端部执行器可操作地耦合到换能器组件并相对于换能器组件向远侧延伸。末端执行器具有振动通道形成末端，其中通道形成末端适于在患者的心脏中产生通道。根据本发明的方法包括以下步骤：将具有尖端的末端执行器插入患者体内，使末端执行器的末端与心脏的表面直接接触，激励末端执行器以使尖端振动用尖端穿过心脏表面以形成通道，并且移除末端执行器。

7. 发明授权

US5810859A Apparatus for applying torque to an ultrasonic transmission component 失效
标题翻译：用于向超声波传播部件施加扭矩的装置
公开(公告)号：US5810859A
公开(公告)日：1998-09-22
申请号：US808637
申请日：1997-02-28
申请人： Stephen DiMatteo , Brian Estabrook
发明人： Stephen DiMatteo , Brian Estabrook
IPC分类号： A61B18/00 , A61B17/32 , A61B17/00
CPC分类号： A61B17/320068 , A61B2017/320088
摘要： An ultrasonic surgical instrument in accordance with the present invention includes a transmission component adapted to receive ultrasonic vibration from a transducer assembly and to transmit the ultrasonic vibration from a first end to a second end. The transmission component has an aperture to allow torque to be coupled to the transmission rod.
摘要翻译：根据本发明的超声波手术器械包括适于从换能器组件接收超声波振动并将超声波振动从第一端传输到第二端的传输部件。传动部件具有允许扭矩与传动杆联接的孔。

8. 发明授权

US06387109B1 Methods and device for improving blood flow to heart of a patient 失效
标题翻译：改善患者心脏血流量的方法及装置
公开(公告)号：US06387109B1
公开(公告)日：2002-05-14
申请号：US09365639
申请日：1999-08-03
申请人： Thomas W. Davison , Stephen DiMatteo
发明人： Thomas W. Davison , Stephen DiMatteo
IPC分类号： A61B1732
CPC分类号： A61B17/320068 , A61B2017/00247 , A61B2017/320072 , A61B2018/00392
摘要： One device in accordance with the present invention includes a surgical device for creating channels in tissue of a patient. The device includes a catheter defining a lumen and a transducer assembly carried by the catheter along a lengthwise dimension of the catheter. An end effector is operatively coupled to the transducer assembly and extends distally relative to the transducer assembly. The end effector has a vibrating channel-forming tip wherein the channel-forming tip is adapted to create channels in the heart of a patient. A method in accordance with the present invention includes the steps of inserting an end effector having a tip into a patient, placing the tip of the end effector in direct contact with a surface of the heart, energizing the end effector to cause the tip to vibrate, piercing through the surface of the heart with the tip to create a channel, and removing the end effector.
摘要翻译：根据本发明的一个装置包括用于在患者的组织中产生通道的外科装置。该装置包括限定内腔的导管和由导管沿导管的纵向尺寸承载的换能器组件。端部执行器可操作地耦合到换能器组件并相对于换能器组件向远侧延伸。末端执行器具有振动通道形成末端，其中通道形成末端适于在患者的心脏中产生通道。根据本发明的方法包括以下步骤：将具有尖端的末端执行器插入患者体内，使末端执行器的末端与心脏的表面直接接触，激励末端执行器以使尖端振动用尖端穿过心脏表面以形成通道，并且移除末端执行器。

9. 发明授权

US5989275A Damping ultrasonic transmission components 失效
标题翻译：阻尼超声波传输部件
公开(公告)号：US5989275A
公开(公告)日：1999-11-23
申请号：US808652
申请日：1997-02-28
申请人： Brian Estabrook , Stephen DiMatteo , Paul Smith
发明人： Brian Estabrook , Stephen DiMatteo , Paul Smith
IPC分类号： A61B17/22 , A61B17/32 , A61B18/00 , A61B17/00
CPC分类号： A61B17/22012 , A61B2017/320088
摘要： An ultrasonic surgical device in accordance with the present invention includes a transmission component adapted to receive ultrasonic vibration from a transducer assembly and to transmit the ultrasonic vibration from a first end to a second end. An inner damping member surrounds at least a portion of the transmission component. The dampening member is adapted to contact the transmission component to dampen undesired vibration during ultrasonic transmission.
摘要翻译：根据本发明的超声手术装置包括适于从换能器组件接收超声波振动并将超声波振动从第一端传输到第二端的传输部件。内阻尼件围绕着传动部件的至少一部分。阻尼构件适于在超声波传输期间接触传动部件以抑制不期望的振动。

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